| NPI | 1568878965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2014020909) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036152701) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2025-08-19 |